title: Magnetic resonance angiography detection of vascular aneurysms in patients with kawasaki disease and coronary artery aneurysms.
abstract: Kawasaki disease is a systemic panvasculitis that causes coronary artery aneurysms in approximately 15% to 25% of untreated patients. Systemic vascular aneurysms may also occur in medium-sized arteries throughout the body and may lead to increased morbidity and mortality in patients with Kawasaki disease. We report a case of diffuse systemic aneurysm formation in a 2-year-old patient with Kawasaki disease with coronary artery aneurysms. Full-body magnetic resonance angiography (MRA) imaging was utilized both in the acute phase and again prior to cardiac catheterization performed at 6 months from the acute illness. The initial MRA detected aneurysmal dilatation of the common and internal iliac arteries bilaterally in the acute phase. Subsequent MRA performed prior to cardiac catheterization 6 months later demonstrated resolution of the iliac artery lesions. Full-body MRA may be useful in screening for associated systemic vascular aneurysms in patients with Kawasaki disease and associated coronary artery aneurysms.
authors.affiliation: Department of Pediatrics, Miami Children's Hospital, Miami, Florida.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Casadonte
authors.forename: Vanessa M
authors.initials: VM
authors.lastname: Perez
authors.forename: Gary
authors.initials: G
authors.lastname: Stapleton
authors.forename: Marguerite M
authors.initials: MM
authors.lastname: Crawford
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Jacobs
authors.forename: David S
authors.initials: DS
authors.lastname: Cooper
authors.forename: Gul H
authors.initials: GH
authors.lastname: Dadlani
keywords: Kawasaki disease; coronary artery aneurysm; iliac artery aneurysm; magnetic resonance angiography